Cauliflower treatment
Hello Doctor, I would like to ask about my condition with genital warts.
I have been using the medication Aldara (Imiquimod) and currently, when I touch the area, it feels flat without any raised bumps.
However, I can still see a small raised flesh-colored bump that appears slightly dark.
I read online that some doctors say it's sufficient when there are no more bumps and the skin feels completely flat.
Should I continue using the medication as a precaution, or does this mean my warts are resolved? Thank you for your response.
Lili, 30~39 year old female. Ask Date: 2022/01/19
Dr. Wu Xianghui reply Obstetrics and Gynecology
Unless antibodies are produced either through vaccination or naturally, it cannot be completely cured and may recur.
Reply Date: 2022/01/19
More Info
Cauliflower warts, also known as genital warts, are caused by certain strains of the human papillomavirus (HPV). These warts can appear as small, flesh-colored or gray growths that may resemble cauliflower, hence the name. They can be flat or raised and may vary in size. The treatment and recovery process for cauliflower warts can vary significantly depending on the individual case, the extent of the warts, and the treatment method used.
In your case, it sounds like you have been using a topical treatment, which is a common approach for managing genital warts. The fact that you feel the wart is now flat and you can see a small black raised area suggests that the treatment may be working. However, it is essential to understand that the presence of any wart or growth, even if it appears smaller or less prominent, does not necessarily mean that the HPV infection has been completely eradicated.
The general recommendation for treating cauliflower warts is to continue the treatment until the warts are entirely gone and the skin appears normal. This is because even if the warts seem to have diminished, the virus can still be present in the skin, and there is a risk of recurrence. Therefore, it is advisable to continue applying the treatment until you achieve a completely flat and normal appearance of the skin.
In terms of prevention, it is crucial to practice safe sex, as HPV can be transmitted even when warts are not visible. Additionally, the HPV vaccine is available and can help prevent the strains of the virus that cause most genital warts and some types of cancer. If you have not been vaccinated, consider discussing this with your healthcare provider.
Regarding your question about whether your cauliflower warts are "healed," it is best to consult with a healthcare professional who can assess the area directly. They can provide a more accurate evaluation and determine if further treatment is necessary. If the small black raised area persists or changes in appearance, it is essential to seek medical advice, as it could indicate that the wart is still present or that another issue may be developing.
In summary, while it sounds like your treatment is progressing well, it is crucial to continue monitoring the area and maintain the treatment until you achieve complete resolution. Regular follow-ups with your healthcare provider can ensure that any remaining warts are addressed promptly and that you receive appropriate guidance on prevention and management strategies.
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